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  1. Article ; Online: Pathophysiology of coronary microvascular dysfunction.

    Crea, Filippo / Montone, Rocco A

    Vascular pharmacology

    2023  Volume 153, Page(s) 107239

    Abstract: The term "coronary microvascular dysfunction" (CMD) encompasses several pathogenetic mechanisms resulting in functional and/or structural changes in the coronary microcirculation. CMD often determines angina and myocardial ischemia in a broad spectrum of ...

    Abstract The term "coronary microvascular dysfunction" (CMD) encompasses several pathogenetic mechanisms resulting in functional and/or structural changes in the coronary microcirculation. CMD often determines angina and myocardial ischemia in a broad spectrum of cardiovascular diseases, including patients with ischemia with non-obstructive coronary arteries or ischemia with obstructive coronary artery disease, infarction with non-obstructive coronary arteries, cardiomyopathies, the Takotsubo syndrome and heart failure, especially heart failure with preserved ejection fraction. In this article, we provide updated evidence regarding the pathophysiological mechanisms underlying CMD across the different cardiovascular diseases, aiming to pave the way for further research and the development of novel strategies for a precision medicine approach.
    MeSH term(s) Humans ; Cardiovascular Diseases ; Coronary Circulation/physiology ; Myocardial Ischemia ; Coronary Artery Disease ; Coronary Vessels ; Heart Failure ; Ischemia ; Microcirculation/physiology
    Language English
    Publishing date 2023-10-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2082846-9
    ISSN 1879-3649 ; 1537-1891 ; 1879-3649
    ISSN (online) 1879-3649 ; 1537-1891
    ISSN 1879-3649
    DOI 10.1016/j.vph.2023.107239
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: An update on the mechanisms of Takotsubo syndrome: "At the end an acute coronary syndrome".

    Crea, Filippo / Iannaccone, Giulia / La Vecchia, Giulia / Montone, Rocco A

    Journal of molecular and cellular cardiology

    2024  Volume 191, Page(s) 1–6

    Abstract: Takotsubo syndrome (TTS) is an acute reversible form of myocardial dysfunction, often preceded by a physical or emotional stressful event, that acts as a trigger. Despite, recent advances in the comprehension of the mechanisms leading to TTS, its ... ...

    Abstract Takotsubo syndrome (TTS) is an acute reversible form of myocardial dysfunction, often preceded by a physical or emotional stressful event, that acts as a trigger. Despite, recent advances in the comprehension of the mechanisms leading to TTS, its pathophysiology is far from being completely understood. However, several studies seem to suggest that an acute coronary microvascular dysfunction may represent a crucial pathogenic mechanism involved in TTS occurrence. In this article, we aim to review the complex pathophysiology of TTS and the possible different mechanisms underlying this clinical condition, focusing on the role of coronary microvascular dysfunction and the remaining knowledge's gaps in the field.
    Language English
    Publishing date 2024-04-18
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 80157-4
    ISSN 1095-8584 ; 0022-2828
    ISSN (online) 1095-8584
    ISSN 0022-2828
    DOI 10.1016/j.yjmcc.2024.04.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Editorial: MINOCA: Pathogenesis, Diagnosis, Clinical Management and Evolution Towards Precision Medicine.

    D'Amario, Domenico / Montone, Rocco A / Borovac, Josip A

    Frontiers in cardiovascular medicine

    2022  Volume 9, Page(s) 928515

    Language English
    Publishing date 2022-06-14
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2781496-8
    ISSN 2297-055X
    ISSN 2297-055X
    DOI 10.3389/fcvm.2022.928515
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Impact of the exposome on cardiovascular disease.

    Bonanni, Alice / Basile, Mattia / Montone, Rocco Antonio / Crea, Filippo

    European heart journal supplements : journal of the European Society of Cardiology

    2023  Volume 25, Issue Suppl B, Page(s) B60–B64

    Abstract: Air pollution, noise pollution, and light pollution have emerged as important but often overlooked risk factors for cardiovascular disease. In this review, we examine the emerging concept of the exposome, highlighting the close relationship between ... ...

    Abstract Air pollution, noise pollution, and light pollution have emerged as important but often overlooked risk factors for cardiovascular disease. In this review, we examine the emerging concept of the exposome, highlighting the close relationship between environmental exposure (e.g. PM
    Language English
    Publishing date 2023-04-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 1463769-8
    ISSN 1554-2815 ; 1520-765X
    ISSN (online) 1554-2815
    ISSN 1520-765X
    DOI 10.1093/eurheartjsupp/suad069
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Brain‑derived neurotrophic factor and heart failure: a promising new road to explore?

    Rinaldi, Riccardo / Colucci, Michele / Montone, Rocco A

    Polish archives of internal medicine

    2022  Volume 132, Issue 10

    MeSH term(s) Humans ; Brain-Derived Neurotrophic Factor ; Heart Failure
    Chemical Substances Brain-Derived Neurotrophic Factor
    Language English
    Publishing date 2022-10-21
    Publishing country Poland
    Document type Editorial ; Comment
    ZDB-ID 123500-x
    ISSN 1897-9483 ; 0032-3772
    ISSN (online) 1897-9483
    ISSN 0032-3772
    DOI 10.20452/pamw.16353
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Reply: Air Pollution and Cardiovascular Diseases and Air Pollution and Rupture of Abdominal Aortic Aneurysms.

    Camilli, Massimiliano / Russo, Michele / Rinaldi, Riccardo / Crea, Filippo / Montone, Rocco A

    Journal of the American College of Cardiology

    2023  Volume 81, Issue 12, Page(s) e101

    MeSH term(s) Humans ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/etiology ; Aortic Aneurysm, Abdominal/epidemiology ; Aortic Aneurysm, Abdominal/etiology ; Aortic Rupture/epidemiology ; Aortic Rupture/etiology ; Air Pollution/adverse effects ; Aorta, Abdominal ; Risk Factors
    Language English
    Publishing date 2023-03-21
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 605507-2
    ISSN 1558-3597 ; 0735-1097
    ISSN (online) 1558-3597
    ISSN 0735-1097
    DOI 10.1016/j.jacc.2023.01.028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Interplay between inflammation and microvascular obstruction in ST-segment elevation myocardial infarction: The importance of velocity.

    Montone, Rocco A / La Vecchia, Giulia

    International journal of cardiology

    2021  Volume 339, Page(s) 7–9

    MeSH term(s) Humans ; Inflammation/diagnosis ; Percutaneous Coronary Intervention ; ST Elevation Myocardial Infarction/diagnostic imaging
    Language English
    Publishing date 2021-07-24
    Publishing country Netherlands
    Document type Editorial ; Comment
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2021.07.041
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Exposome in ischaemic heart disease: beyond traditional risk factors.

    Montone, Rocco A / Camilli, Massimiliano / Calvieri, Camilla / Magnani, Giulia / Bonanni, Alice / Bhatt, Deepak L / Rajagopalan, Sanjay / Crea, Filippo / Niccoli, Giampaolo

    European heart journal

    2024  Volume 45, Issue 6, Page(s) 419–438

    Abstract: Ischaemic heart disease represents the leading cause of morbidity and mortality, typically induced by the detrimental effects of risk factors on the cardiovascular system. Although preventive interventions tackling conventional risk factors have helped ... ...

    Abstract Ischaemic heart disease represents the leading cause of morbidity and mortality, typically induced by the detrimental effects of risk factors on the cardiovascular system. Although preventive interventions tackling conventional risk factors have helped to reduce the incidence of ischaemic heart disease, it remains a major cause of death worldwide. Thus, attention is now shifting to non-traditional risk factors in the built, natural, and social environments that collectively contribute substantially to the disease burden and perpetuate residual risk. Of importance, these complex factors interact non-linearly and in unpredictable ways to often enhance the detrimental effects attributable to a single or collection of these factors. For this reason, a new paradigm called the 'exposome' has recently been introduced by epidemiologists in order to define the totality of exposure to these new risk factors. The purpose of this review is to outline how these emerging risk factors may interact and contribute to the occurrence of ischaemic heart disease, with a particular attention on the impact of long-term exposure to different environmental pollutants, socioeconomic and psychological factors, along with infectious diseases such as influenza and COVID-19. Moreover, potential mitigation strategies for both individuals and communities will be discussed.
    MeSH term(s) Humans ; Exposome ; Risk Factors ; Myocardial Ischemia/epidemiology ; Myocardial Ischemia/etiology ; Coronary Artery Disease ; Morbidity ; Environmental Exposure/adverse effects
    Language English
    Publishing date 2024-01-18
    Publishing country England
    Document type Review ; Journal Article
    ZDB-ID 603098-1
    ISSN 1522-9645 ; 0195-668X
    ISSN (online) 1522-9645
    ISSN 0195-668X
    DOI 10.1093/eurheartj/ehae001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Author Correction: Coronary microvascular obstruction and dysfunction in patients with acute myocardial infarction.

    Galli, Mattia / Niccoli, Giampaolo / De Maria, Gianluigi / Brugaletta, Salvatore / Montone, Rocco A / Vergallo, Rocco / Benenati, Stefano / Magnani, Giulia / D'Amario, Domenico / Porto, Italo / Burzotta, Francesco / Abbate, Antonio / Angiolillo, Dominick J / Crea, Filippo

    Nature reviews. Cardiology

    2023  Volume 21, Issue 5, Page(s) 347

    Language English
    Publishing date 2023-12-06
    Publishing country England
    Document type Published Erratum
    ZDB-ID 2490375-9
    ISSN 1759-5010 ; 1759-5002
    ISSN (online) 1759-5010
    ISSN 1759-5002
    DOI 10.1038/s41569-023-00974-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Pathophysiology of Coronary Microvascular Dysfunction.

    Crea, Filippo / Montone, Rocco A / Rinaldi, Riccardo

    Circulation journal : official journal of the Japanese Circulation Society

    2021  Volume 86, Issue 9, Page(s) 1319–1328

    Abstract: Ischemic heart disease (IHD) is commonly recognized as the consequence of coronary atherosclerosis and obstructive coronary artery disease (CAD). However, a significant number of patients may present angina or myocardial infarction even in the absence of ...

    Abstract Ischemic heart disease (IHD) is commonly recognized as the consequence of coronary atherosclerosis and obstructive coronary artery disease (CAD). However, a significant number of patients may present angina or myocardial infarction even in the absence of any significant coronary artery stenosis and impairment of the coronary microcirculation has been increasingly implicated as a relevant cause of IHD. The term "coronary microvascular dysfunction" (CMD) encompasses several pathogenic mechanisms resulting in functional and/or structural changes in the coronary microcirculation and determining angina and myocardial ischemia in patients with angina without obstructive CAD ("primary" microvascular angina), as well as in several other conditions, including obstructive CAD, cardiomyopathies, Takotsubo syndrome and heart failure, especially the phenotype with preserved ejection fraction. The pathogenesis of CMD is complex and involves the combination of functional and structural alterations leading to impaired coronary blood flow and resulting in myocardial ischemia. In the absence of therapies specifically targeting CMD, attention has been focused on the role of modifiable risk factors. Here, we provide updated evidence regarding the pathophysiological mechanisms underlying CMD, with a particular focus on the role of cardiovascular risk factors and comorbidities. Moreover, we discuss the specific pathogenic mechanisms of CMD across the different cardiovascular diseases, aiming to pave the way for further research and the development of novel strategies for a precision medicine approach.
    MeSH term(s) Coronary Artery Disease ; Coronary Circulation ; Coronary Vessels ; Humans ; Microcirculation ; Microvascular Angina ; Myocardial Ischemia
    Language English
    Publishing date 2021-11-09
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2068090-9
    ISSN 1347-4820 ; 1346-9843
    ISSN (online) 1347-4820
    ISSN 1346-9843
    DOI 10.1253/circj.CJ-21-0848
    Database MEDical Literature Analysis and Retrieval System OnLINE

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